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Genetic Test For An Infectious Organism

Utah rates for HCPCS 87542

A laboratory test that looks in a patient sample for the genetic material of a specific germ. Detecting that material shows the organism is present, and results generally come back faster than growing the organism in a culture would allow.

Rates data updated October 2026.

How much does Genetic Test For An Infectious Organism cost?

$47.86

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $52.48 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$25.12 to $52.48
FacilityA hospital or hospital-owned outpatient department$52.48$47.86 to $282

How much rates vary

Facilitymedian $52 · 10th to 90th $46 to $372Professionalmedian $37 · 10th to 90th $17 to $71
$10$20$50$100$200facility $52professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$281.84
Typical High
$371.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$26.30
Median
$141.25
Typical High
$186.21
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$57.54
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$45.71
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$50.12
Typical High
$79.43
Molina
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$39.81
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$47.86
Typical High
$186.21
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$64.57
Select Health
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$61.66
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$25.70

Where Utah sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 19th of 51

$47.86

AK $93.33DE $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.